The nurse is instructing student nurses about the stress of hospitalization for children from middle infancy throughout the preschool years. What major stress should the nurse relate to the students?
a. Pain
b. Bodily injury
c. Loss of control
d. Separation anxiety
ANS: D
The major stress from middle infancy throughout the preschool years, especially for children ages 6 to 30 months, is separation anxiety.
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The nurse is conducting an admission assessment on an older adult and notes a small lesion with a multicolor appearance. Which assessment approach should the nurse use?
a. Braden Scale b. Wound staging c. ABCD (asymmetry, border, color, diame-ter) rule d. Pressure ulcer scale for healing (PUSH) tool
A pregnant woman who abuses cocaine admits to exchanging sex for her drug habit. This behavior puts her at a greater risk for:
a. depression of the central nervous system. b. hypotension and vasodilation. c. sexually transmitted diseases. d. postmature birth.
Which would help a client establish a trusting relationship with the nurse and to develop a rapport so that feelings and thoughts could be shared?
a. Ask the most sensitive questions first to get right to client's concerns. b. Ask open-ended questions allowing time for the client to answer. c. Ask closed questions to facilitate the completion of nursing assessment. d. Meet with a client for a very short time.
Which of the following symptoms would be more common in this patient's age group for an acute myocardial infarction?
A 78-year-old retired seamstress comes to the office for a routine check-up. You obtain an ECG (electrocardiogram) because of her history of hypertension. You diagnose a previous myocardial infarction and ask her if she had any symptoms related to this. A) Chest pain B) Syncope C) Pain radiating into the left arm D) Pain radiating into the jaw